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DR ITSCOITZ SEGAL & GRAVINO PA NPI 1588731566


NPI Information

NPI: 1588731566
Provider Name: DR ITSCOITZ SEGAL & GRAVINO PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
10313 GEORGIA AVENUE
SUITE 307
SILVER SPRING, MD
ZIP 20902
Phone: (301) 681-9095
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DR ITSCOITZ SEGAL & GRAVINO PA is a cardiovascular disease internal medicine in Silver Spring, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR ITSCOITZ SEGAL & GRAVINO PA NPI is 1588731566. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10313 GEORGIA AVENUE
SUITE 307
SILVER SPRING, MD
ZIP 20902
Phone: (301) 681-9095
Fax: (301) 681-8156

The provider's authorized official is Samuel B Itscoitz .
The authorized official title is President and has the following contact phone number (301) 681-9095.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 6/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseD0005568MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1KA62ITOTHERBLUE CROSS MARYLAND
2B94543MEDICARE UPIN
358030002OTHERBLUE CROSS DC
4408799MEDICARE ID-TYPE UNSPECIFIED
5779721400MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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